Health License Defense » dental board

Dental Board Rule Changes on Anesthesia

Jon Porter — Wed, 18 May 2011 14:19:15 +0000

Adopted Rules re:
- Professional Conduct-Anesthesia and Anesthetic Agents. The repeal of Chapter 108, Subchapter C is adopted in order to publish revised anesthesia and sedation rules. Concurrent with this is the adoption of new anesthesia rules contained in new Chapter 110 regarding: Effective Date, Definitions, Minimum Standard of Care, Anesthesia, Sedation/Anesthesia Permit, Permit Requirements and Clinical Provisions, Authority to Demonstrate Anesthesia.
- Enteral Conscious Sedation-Repeal of Anesthesia Rules regarding: Definitions, Permit, Permit Requirements and Clinical Provisions, Effective Date .
- Enteral Conscious Sedation-Adoption of New Anesthesia Rules regarding: Definitions; Sedation/Anesthesia Permit; Nitrous Oxide/Oxygen Inhalation Sedation; Minimal Sedation; Moderate Sedation; Deep Sedation or General Anesthesia; Portability; Provisional Anesthesia and Portability Permits; Anesthesia Permit Renewal .
Ad-Hoc Committee updated rules based on sedation guidelines adopted by the American Dental Association (ADA) House of Delegates in 2007

The most significant change in the revisions is to the levels of anesthesia and sedation permitting. The permitting process emphasizes the level of sedation of the patient rather than the route of administration of the medication. The new sections establish five levels of anesthesia and sedation permits beyond the standard dental license: Nitrous Oxide/Oxygen Inhalation Sedation;

Level 1: Minimal Sedation;
Level 2: Moderate Sedation (enteral sedation);
Level 3: Moderate Sedation (parenteral sedation); and
Level 4: Deep Sedation or General Anesthesia.

Most levels of permitting will change in name only. Licensed dentists who lack sedation permits may continue to utilize local anesthetic and prescribe minor tranquilizers for anxiolysis. A licensed dentist who holds an active Nitrous Oxide/Oxygen Inhalation Conscious Sedation permit, Parenteral Sedation permit, or Deep Sedation or General Anesthesia permit on or before the effective date of the new sections will have his or her permit automatically reclassified as a Nitrous Oxide/Oxygen Inhalation Sedation permit, Level 3 permit, and Level 4 permit respectively on the effective date.

New proposed rules for Texas Board of Dental Examiners

Taralynn Mackay — Wed, 09 Jun 2010 22:07:59 +0000

On May 21, 2010, the Texas Board of Dental Examiners posted new proposed rules involving the following (the proposed rules may be found at the Texas Register):

GENERAL PROVISIONS

22 TAC §100.10

DENTAL HYGIENE LICENSURE

22 TAC §103.5

DENTAL BOARD PROCEDURES

22 TAC §§107.11, 107.15, 107.17, 107.21 – 107.25, 107.47, 107.48, 107.50, 107.54, 107.55, 107.63
22 TAC §107.59
22 TAC §107.102
22 TAC §107.203

PROFESSIONAL CONDUCT

22 TAC §§108.7 – 108.9

EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL ASSISTANTS

22 TAC §114.10

EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL HYGIENE

22 TAC §115.9

Budget Cuts in the Future

Jon Porter — Tue, 01 Jun 2010 14:10:26 +0000

Last month, the Governor, Lt. Governor and the Speaker of the House asked all agencies to cut 5% from their 2010-2011 Budgets. The budget year from September 1st to August 31st; therefore, the 2011 budget starts in September. All agencies submitted their cuts. Most agencies that I deal with: Medical, Nursing, Dental, LPC, LSW, LMFT, Psychology and Veterinarian Boards found savings by not filling open positions. The vast majority of the board’s budgets are in employee salaries (roughly 80%). The Texas Medical Board, one of Governor Perry’s favor agencies, told the Medical Board it could restore 2 1/2 % of the cut it took. The Medical Board is looking to fill a few positions.

Over the weekend, the Governor, Lt. Governor and the Speaker of the House asked all agencies to find 10% cuts from its 2012-2013 Budget. Again, most of these cuts will have to come from employees. This means customer service will suffer, licensure will likely take a little longer, investigations will further slow down its resolution time, and prosecutions will take longer.

I also would not be surprised if all renewal fees were increased.